DENNIS L STREETER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046413

License Status

NOT RENEWED

Business

First Name

DENNIS L

Last Name

STREETER

Suffix

Business Name

DENNIS L STREETER DO

Original Issue Date

08/22/1972

Effective Date

12/23/2014

Expiration Date

07/31/2017

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017